[Skip to Content]
[Skip to Content Landing]
Views 860
Citations 0
Invited Commentary
April 2014

The Changing Face of the Hospice IndustryWhat Really Matters?

Author Affiliations
  • 1Division of Geriatrics, Department of Medicine, Duke University, Durham, North Carolina
  • 2Center for the Study of Aging and Human Development, Duke University, Durham, North Carolina
  • 3Center for Palliative Care, Duke University, Durham, North Carolina
  • 4Geriatrics Research Education and Clinical Center, Veterans Affairs Medical Center, Durham, North Carolina
JAMA Intern Med. 2014;174(4):507-508. doi:10.1001/jamainternmed.2013.13304

In recent years, the tremendous growth in the number of for-profit hospices has received increasing scrutiny in both the lay press and medical journals. Academicians, reporters, and government regulators have raised concerns about for-profit hospices’ aggressive marketing practices, narrower scope of services offered, and enrollment of a case mix of patients with longer lengths of stay and higher profits.14 Although there is no direct evidence that the quality of care provided to patients differs by hospice ownership,5 some believe that for-profit hospices, unlike nonprofit hospices that led the movement to improve the care of the terminally ill, are more often motivated by making money rather than by the altruistic goal of providing quality care to dying patients.

First Page Preview View Large
First page PDF preview
First page PDF preview